Consequences of Pacifier Use. By: Dr. Nishita Ondhia

As a new parent, we are often in a daze.  Suddenly, parents are faced with a tremendous responsibility and it can often be overwhelming. One decision to be made is if a pacifier is needed or is helpful.  There are many perspectives to this decision and one must do what is best for their new family.

From a dental and orofacial perspective, I would like to share my thoughts.  Personally, if you are able to avoid pacifier use altogether, this is ideal – there will be no need to wean to avoid developmental and behavioural concerns at a later date.

The American Academy of Paediatricians (AAP) suggests weaning pacifier use by 6 months of age thus decreasing the incidence of Otitis Media, middle ear infections.  These infections can reoccur, be quite painful for your child and are difficult to manage as a parent.  Quite often antibiotics and external ear tubes are treatment options.  The ethology is an incorrect swallow.

From a dental perspective, prolonged pacifier uses will allow for unideal tongue function.  The tongue is one’s life long orthodontist and retainer and its impaired function increases the risk of the following:

• dental crowding
• malaligned teeth
• malocclusion – deep bites, open bites, crossbones, underbites
• ideal jaw relationships
• high vaulted palate
• speech issues
• Otitis Media – middle ear infections
• dependancy
• nipple confusion

The above primary concerns may lead to mouth breathing and subsequent health concerns including sleep issues.

Dr. Nishita Ondhia